Until recently, interest in operative management of fractures of the foot and use of internal fixation for reconstruction and arthrodesis has been minimal. But over the past two decades advances in fracture surgery have conclusively documented that lower extremity function is better when normal anatomy is restored and prolonged casting is avoided following injury. In view of the realization that the lower extremity cannot function without a sound foot, there has been an explosive increase in interest in applying principles of internal fixation to the foot.I As with open reduction and internal fixation (ORIF) elsewhere, the four goals of internal fixation in the foot are (1) restoration of normal anatomy with rapid union, (2) preservation of blood supply to the operative area, (3) achievement of stable internal fixation that meets the biomechanical demands of the foot, and (4) mobilization and functional weight bearing as early as possible.
KeywordsTitanium Arthritis Hexa Immobilization Explosive
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